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1760787881
LAURA KELLEY KOS
NEW HAVEN, CT
NPI
1760787881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CT 4194)
Enumeration Date
2011-01-20
Last Update Date
2011-01-20
Business Address
Mrs. LAURA KELLEY KOS CPNP
333 CEDAR ST ROOM WWW305
NEW HAVEN, CT 06510-3206
Phone number: 203-785-2660
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Mailing Address
Mrs. LAURA KELLEY KOS CPNP
64 OSPREY DR
GROTON, CT 06340-3132
Phone number: 214-926-8608
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